Dr. Peter Benvenuto

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

OD 555 T Issued in TN

Legal business name

DR. PETER BENVENUTO

Practice address

2742 Bartlett Blvd
Bartlett, TN 38134-4530

Phone

(901) 382-2020

NPI assigned

Feb 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Benvenuto, OD

Title

Doctor/Owner

Phone

(901) 382-2020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Willcox, OD

  • Optometrist
  • Bartlett, TN
  • NPI 1851808794
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1184892259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742 BARTLETT BLVD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344530",
            "telephone_number": "901-382-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2742 BARTLETT BLVD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344530",
            "telephone_number": "901-382-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PETER BENVENUTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "BENVENUTO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "901-382-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "OD 555 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Louise Dowling, MD
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• Durable Medical Equipment & Medical Supplies in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.